摘要
肺癌常见影像学多表现为肺部实质性占位,而以肺大泡为表现的肺癌较为少见。本文研究我院连续手术的1 514例肺癌患者,通过影像学表现发现其中63例为肺大泡相关性肺癌。通过观察63例肺大泡相关性肺癌患者的临床表现、临床资料、病理学分类及分期,将无肺大泡作为对照组。发现肺大泡肺癌多发生于吸烟男性者(P<0.05),病理以鳞癌为主(P<0.05)。同对照组比较,TNM分期中分期为Ⅱ期的肺癌,肺大泡组多并有统计学意义(P<0.05)。肺大泡相关性肺癌是原发性肺癌的一种特殊形式,鳞癌为主、患者多为吸烟男性。临床表现隐匿,早期较难确诊,且易被漏诊、误诊。肺大泡患者是肺癌的高危人群,应密切进行影像随访或进一步检查,对不能排除肺癌者应积极手术治疗。
Most of pulmonary cancer present with a mass in Computed Tomography（CT）.Lung cancer arising from emphysematous bullae（EB）is unusual.A total of 63 patients among all 1514 patients who underwent operation for primary lung carcinoma cases were reviewed.The authors compared the clinic data and manifestations,pathological classification,pathologic stages and cell differentiation of lung carcinoma with that without EB group.Most cases of bullae-associated lung cancer are male,heavy smokers（P〈0.05）and squamous carcinoma（P〈0.05）.In TNM stage,amount of EB in stage II is significantly more than control group（P〈0.05）.Considering the incidence of pulmonary carcinoma associated with bullous disease is high,radiographic findings would aid in the early detection of a malignant lesion.Bullous lung disease is a risk factor for lung cancer,and should be followed up by chest computed tomography and further examination.If the bullae may be diagnosed as lung cancer,an exploratory thoracotomy should be performed as early as possible.
出处
《医学与哲学（B）》
2016年第7期47-49,共3页
Medicine & Philosophy(B)
关键词
支气管肺癌
肺大泡
手术
bronchogenic cancer
bullae
operation
